Small-vessel disease in the brain

Cerebral small-vessels are generally located in the brain at branch points from major cerebral blood vessels and perfuse subcortical structures such as the white matter tracts, basal ganglia, thalamus, and pons. Cerebral small-vessel disease (CSVD) can lead to several different clinical manifestatio...

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Main Authors: Amita Singh, Gabriel Bonnell, Justin De Prey, Natalie Buchwald, Kyrillos Eskander, Keith J. Kincaid, Christina A. Wilson
Format: Article
Language:English
Published: Elsevier 2023-03-01
Series:American Heart Journal Plus
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666602223000290
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author Amita Singh
Gabriel Bonnell
Justin De Prey
Natalie Buchwald
Kyrillos Eskander
Keith J. Kincaid
Christina A. Wilson
author_facet Amita Singh
Gabriel Bonnell
Justin De Prey
Natalie Buchwald
Kyrillos Eskander
Keith J. Kincaid
Christina A. Wilson
author_sort Amita Singh
collection DOAJ
description Cerebral small-vessels are generally located in the brain at branch points from major cerebral blood vessels and perfuse subcortical structures such as the white matter tracts, basal ganglia, thalamus, and pons. Cerebral small-vessel disease (CSVD) can lead to several different clinical manifestations including ischemic lacunar stroke, intracerebral hemorrhage, and vascular dementia. Risk factors for CSVD overlap with conventional vascular risk factors including hypertension, diabetes mellitus, and hypercholesterolemia, as well as genetic causes. As in cardiovascular disease, treatment of CSVD involves both primary and secondary prevention. Aspirin has not been established as a primary prevention strategy for CSVD among the general population; however, long-term antiplatelet therapy with aspirin alone continues to be the mainstay of secondary stroke prevention for non-cardioembolic ischemic stroke and high-risk TIA.
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spelling doaj.art-c6fcf54c77d44b68b7bb5ec21a59d5082023-03-12T04:22:22ZengElsevierAmerican Heart Journal Plus2666-60222023-03-0127100277Small-vessel disease in the brainAmita Singh0Gabriel Bonnell1Justin De Prey2Natalie Buchwald3Kyrillos Eskander4Keith J. Kincaid5Christina A. Wilson6Department of Neurology, University of Florida, Gainesville, FL, United States of AmericaDepartment of Neurology, University of Florida, Gainesville, FL, United States of AmericaDepartment of Neurology, University of Florida, Gainesville, FL, United States of AmericaDepartment of Neurology, University of Florida, Gainesville, FL, United States of AmericaDepartment of Neurology, University of Florida, Gainesville, FL, United States of AmericaDepartment of Neurology, University of Florida, Gainesville, FL, United States of AmericaCorresponding author at: Department of Neurology, University of Florida, 1149 Newell Dr., PO Box 100236, Gainesville, FL 32610, United States of America.; Department of Neurology, University of Florida, Gainesville, FL, United States of AmericaCerebral small-vessels are generally located in the brain at branch points from major cerebral blood vessels and perfuse subcortical structures such as the white matter tracts, basal ganglia, thalamus, and pons. Cerebral small-vessel disease (CSVD) can lead to several different clinical manifestations including ischemic lacunar stroke, intracerebral hemorrhage, and vascular dementia. Risk factors for CSVD overlap with conventional vascular risk factors including hypertension, diabetes mellitus, and hypercholesterolemia, as well as genetic causes. As in cardiovascular disease, treatment of CSVD involves both primary and secondary prevention. Aspirin has not been established as a primary prevention strategy for CSVD among the general population; however, long-term antiplatelet therapy with aspirin alone continues to be the mainstay of secondary stroke prevention for non-cardioembolic ischemic stroke and high-risk TIA.http://www.sciencedirect.com/science/article/pii/S2666602223000290Small-vessel diseaseBrainIschemic strokeHemorrhageVascular dementia
spellingShingle Amita Singh
Gabriel Bonnell
Justin De Prey
Natalie Buchwald
Kyrillos Eskander
Keith J. Kincaid
Christina A. Wilson
Small-vessel disease in the brain
American Heart Journal Plus
Small-vessel disease
Brain
Ischemic stroke
Hemorrhage
Vascular dementia
title Small-vessel disease in the brain
title_full Small-vessel disease in the brain
title_fullStr Small-vessel disease in the brain
title_full_unstemmed Small-vessel disease in the brain
title_short Small-vessel disease in the brain
title_sort small vessel disease in the brain
topic Small-vessel disease
Brain
Ischemic stroke
Hemorrhage
Vascular dementia
url http://www.sciencedirect.com/science/article/pii/S2666602223000290
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